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- December 1, 2008 |
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Welcome to the #1 online source of information for Diabetes Specialists! An international online community of more than 10,000 Diabetes Specialists.
CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"A Practical approach to Treating Obesity"Dr. Barry Simon (biography)
English - 2002-01-19 - 32 minutes
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Summary :
Psychological overview of overweight diabetes patients. Exposé on how to understand their dilemma, helping them find solutions and achieve a better comprehension of their decision-making power.
Learning objectives :
Upon completion of this presentation, participants should be able to:
1.Better understand how to use motivational interviewing (Miller et al) and lifestyle counseling for the purpose of encouraging lifestyle change.
2.Identify the common triggers for lapses and relapses in their Type 2 Diabetic patient.
3.Better understand the role of the Transtheoretical Model in the assessment of compliance in their Type 2 diabetic patients.
Bibliographic references :
The management of obesity in type 2 diabetes mellitus.
Valsamakis G, Chetty RK, Kumar S.
Diabetes Centre, Birmingham Heartlands Hospital, Bordesley Green East, UK.
Prevalence of obesity in the United Kingdom has tripled in the last 20 years and this is driving an epidemic of type 2 diabetes. Indeed, today the vast majority of patients with type 2 diabetes are overweight or obese. Effective weight management leading to modest weight loss to the order of 5-10% of body weight can lead to significant clinically meaningful benefits provided it can be maintained. Thus weight management can lead to improved glycaemic control, better blood pressure control and lipid control in addition to other benefits. Management of diabetic patients who are obese requires management also of other associated co-morbid conditions and it is important to ensure that glycaemic control does not deteriorate during weight management. An integrated approach to weight management in the diabetic patient is recommended which helps to promote lifestyle modification for all patients. Drug therapy may be appropriate for many obese patients who do not reach target weight loss with lifestyle modification alone. Surgery should be reserved for those with BMI >40 only after failed medical therapy.
Curr Med Res Opin 2002;18 Suppl 1:s75-81
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